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Patient Insurance Verification Consultant Jobs (NOW HIRING)

Medix

Insurance Verification Specialist

Edmonds, WA · On-site

$21.30 - $25/hr

Responsibilities Insurance Verification • Verify patient insurance coverage by contacting insurance companies via phone, payer portals, and other approved methods. • Obtain and document accurate ...

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Patient Insurance Verification Consultant information

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How much do patient insurance verification consultant jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for patient insurance verification consultant in the United States is $19.53, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.91 per hour, depending on experience, location, and employer.

What does a patient insurance verification consultant do?

A Patient Insurance Verification Consultant is responsible for confirming patients’ insurance coverage and benefits before medical services are provided. They communicate with insurance companies to verify patient eligibility, determine coverage details, and identify any out-of-pocket costs. This role helps prevent claim denials and ensures that patients and healthcare providers are informed about insurance requirements and potential billing issues. Consultants also assist in resolving discrepancies and explaining insurance benefits to patients.

How does a patient insurance verification consultant collaborate with other departments to ensure patients' coverage is verified accurately and efficiently?

A Patient Insurance Verification Consultant works closely with front desk staff, medical billing teams, and healthcare providers to gather and confirm patient insurance information. Regular communication with these departments is essential to resolve discrepancies, obtain necessary authorizations, and address any issues that may delay patient care or billing. Consultants also interact with insurance companies to clarify policy details and coverage limits. Effective collaboration ensures a streamlined verification process, minimizes claim denials, and enhances the overall patient experience.

What are the key skills and qualifications needed to thrive as a patient insurance verification consultant, and why are they important?

To thrive as a Patient Insurance Verification Consultant, you need a solid understanding of medical billing, insurance policies, and verification procedures, often supported by experience in healthcare administration or a related associate's degree. Familiarity with insurance portals, electronic health record (EHR) systems, and medical billing software is typically required. Strong attention to detail, problem-solving abilities, and excellent communication skills help ensure accurate verification and effective patient interactions. These skills are vital for minimizing claim denials, ensuring timely reimbursement, and supporting a seamless patient experience.

What is the difference between Patient Insurance Verification Consultant vs Patient Accounts Specialist?

AspectPatient Insurance Verification ConsultantPatient Accounts Specialist
CredentialsHigh school diploma, insurance verification certificationsHigh school diploma, billing or coding certifications
Work EnvironmentHealthcare facilities, insurance companiesHospitals, clinics, billing departments
Primary ResponsibilitiesVerify insurance coverage, confirm patient eligibilityManage patient billing, process payments

The Patient Insurance Verification Consultant focuses on verifying insurance details and eligibility, while the Patient Accounts Specialist handles billing and payment processing. Both roles require knowledge of insurance policies and work in healthcare settings, but their core functions differ in the patient financial process.

What are popular job titles related to Patient Insurance Verification Consultant jobs?

For Patient Insurance Verification Consultant jobs, the most frequently searched job titles are:

Insurance Verification Specialist

Marshall, TX • On-site

Genesis PrimeCare
201 - 500 employees
Learn more about Genesis PrimeCareexternal

$13.75 - $16.75/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Job description

Insurance Verification Specialist
Position Overview
The Insurance Verification Specialist plays a vital role in supporting the financial health and operational efficiency of Genesis PrimeCare by ensuring accurate and timely verification of patient insurance coverage prior to services. This position is responsible for confirming eligibility, benefits, network participation, and designation of the health center as the patient's primary care provider (PCP), while proactively addressing any discrepancies that could delay care or reimbursement.
The specialist obtains and tracks prior authorizations for procedures, medications, and referrals, coordinates closely with clinical and billing teams to prevent denials, and maintains accurate documentation within the electronic health record (EHR). This role also serves as a resource for patients by explaining coverage details, assisting with PCP changes, and helping resolve insurance-related issues to ensure uninterrupted access to care.
Working collaboratively with front desk, clinical, billing, and coding staff, the Insurance Verification Specialist helps maintain a seamless patient workflow and supports compliance with all federal, state, and organizational requirements. Strong communication, attention to detail, and customer service skills are essential to ensure patients receive high-quality, accessible care while safeguarding the health center's revenue cycle.
Qualifications
Required:
  • High School Diploma or GED
Preferred:
  • Associates degree or relevant certification in healthcare administration, medical billing, or related field.
  • Two years experience in insurance verification, medical billing, or a similar role in a healthcare setting, preferably in an FQHC or community health center.
Benefits
At Genesis PrimeCare, we value our team members and offer a comprehensive benefits package, including:
  • Competitive pay
  • Medical, dental, and vision insurance
  • Paid time off (PTO) and holidays
  • 403(b) Retirement savings plan
  • Incentive & merit compensation programs
Who We Are
  • At Genesis PrimeCare, our mission is to positively impact the health and well-being of the communities we serve. As a non-profit, Federally Qualified Health Center (FQHC), we are committed to being the primary source for our patients' healthcare needs-from birth through geriatric care.
  • Our vision is to establish Genesis PrimeCare as both a healthcare provider and employer of choice, upholding our uncompromising values of professionalism, responsibility, and excellence in every service we provide. With a patient-centered focus, we strive to deliver quality, accessible care that truly makes a difference in the lives of those we serve.

Monday - Friday 8am - 5pm

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